Rheumatology

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Which test--antistreptolysin O titers, coronary angiography, enzyme-linked immunosorbent assay (ELISA), Western blot testing for Borrelia burgdorferi, or genetic testing for long QT syndrome--would help you diagnose a young man with worsening chest pain, frontal headache, and diffuse muscle and joint pain?

A 91-year-old community-dwelling woman is seen for annual physical examination. Apart from hearing loss, she has no complaints; she continues to reside alone in an assisted-living apartment, and to take care of herself.